Should I remove my texture implants?

Question

I have texture implants for 10 years. Should I remove them since they are being recalled due to risk of cancer? I don’t have any symptoms. But I’m considering the risk of having them exchanged to smooth wall implants or just keeping them for few more years. How long do breast implants usually last? Which implants have low risk of capsular contraction? Currently i have 435cc, can I downsize my implants to 300?

Camille Cash, MD · Answer

It is recommended to have the implants removed if they are causing issues or you are experiencing symptoms.  If not, it is optional whether you would feel more comfortable replacing your current implants with smooth implants.  There is no specific time frame that implants "last" but after several years it is not uncommon that women prefer a different sized implant, or perhaps desire a lift.  I welcome you to visit us in our Houston office for a consultation to learn more.  I've included a video I hope you find helpful.

Kenneth Hughes, MD · Answer

The FDA has not recommended removal or replacement of textured breast implants or tissue expanders in asymptomatic patients. As of this date, the BIA-ALCL risk appears to be very small. Women will be tested only if they show symptoms. 
Allergan will allow you to swap the textured implants for smooth ones, but it does not cover the surgery costs (board certified plastic surgeon, board certified anesthesiologist, surgery center fees, supplies, bra, etc.) However, many PSs are offering discounts on the surgery costs. Replacing 435cc implants with 300cc implants will be more involved than a mere exchange.
With proper monitoring (self-exams, physician exams), you do not need to automatically replace your implants every 10 years unless you have issues with them.

Donald R. Revis Jr, MD · Answer

Good afternoon!
The current FDA recommendations regarding textured implants are that if the patient is asymptomatic then they do not have to be removed. On the other hand, many patients with textured Allergan devices CHOOSE to have them removed for peace of mind. Allergan will provide a set of smooth silicone implants for free, and I think they work very well!

Daniel Barrett, MD · Answer

Dear Beautyispain123,
I recommend my patients to replace implants every 10 years in order to reduce the chance of complications. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  As you are not having symptoms you need not replace or remove your implants, but if for peace of mind you certainly can.  With a sizable reduction in implant size, you most likely will need some pocket work to be done to reduce its dimensions, but this can be done.  Hope this helps.

Should I remove my texture implants?

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Should I remove my texture implants?

Answers (8)

Answer: Implant removal

Answer: Implant removal

Answer: Should I remove my texture implants?

Answer: Should I remove my texture implants?

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.